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1518422815
ADA C MOORE-DE LA CRUZ
BREMERTON, WA
NPI
1518422815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60960489)
Enumeration Date
2019-01-31
Last Update Date
2022-01-26
Business Address
ADA C MOORE-DE LA CRUZ
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5870
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Mailing Address
ADA C MOORE-DE LA CRUZ
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5870
Copy
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